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Carl R. Ellis
Clinical Child & Adolescent Psychologist in Virginia Beach, Virginia
NPI 1114002581

Carl R. Ellis is a Clinical Child & Adolescent Psychologist based in Virginia Beach, VA and is specialized in Clinical Child & Adolescent. Carl R. Ellis practices in Virginia Beach, VA. The NPI Number for Carl R. Ellis is 1114002581 and holds a License No. 0810001913 (Virginia).

The current practice location address for Carl R. Ellis is 1020 Independence Blvd, Virginia Beach, VA and can be reached out via phone at 757-640-1882 and via fax at 757-640-0253.

Location: 1020 Independence Blvd, Virginia Beach, VA, 23455-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114002581
Provider Name
Carl R. Ellis
Credential
Provider Entity Type
Organization
Address
1020 Independence Blvd, Virginia Beach, VA, 23455-5500
Phone Number
757-640-1882
Fax Number
757-640-0253
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260026000 01 VA OPTIMA HEALTH
007700580 05 VA
institution
Provider Business Practice Location Address Details
Address
1020 Independence Blvd
City
Virginia Beach
State
Virginia
Zip
23455-5500
Phone Number
757-640-1882
Fax Number
757-640-0253
person
Provider Business Mailing Address Details
Address
1020 Independence Blvd
City
Virginia Beach
State
Virginia
Zip
23455-5500
Phone Number
757-640-1882
Fax Number
757-640-0253
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
0810001913 (Virginia)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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